MRCP UK EXAMINATIONS

RESPIRATORY

PULMONOLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 39-year-old man came for treatment with complaints of vomiting, weakness and yellow-looking eyes since the past 1 week. The patient previously had a long cough and had undergone routine OAT treatment for 3 weeks. Which OAT drug can cause symptoms in this patient?
A
Rifampicin, INH, ethambutol
B
Pyrazinamide, rifampicin, INH
C
Streptomycin and ethambutol
D
Streptomycin, ethambutol and INH
E
Pyrazinamide, streptomycin and ethambutol
Explanation: 

Detailed explanation-1: -When evaluating a patient with chronic cough, fever, and weight loss, the differential diagnosis commonly includes lung cancer, M tuberculosis infection, HIV, COPD, and interstitial lung disease.

Detailed explanation-2: -Prolonged fever, weight loss, and persistent lymph nodes have a differential diagnosis of malignancy, viral diseases such as Epstein–Barr virus and HIV, and autoimmune diseases.

Detailed explanation-3: -Your symptoms match a wide variety of different medical conditions, including viral infections like the common cold or bronchitis. If you have a history of asthma, another possibility is an asthma attack. In that case you’ll want to take the initial steps of your asthma plan.

Detailed explanation-4: -Violent coughing often causes photopsia-transient visual disturbances from the ocular structures basically being shaken up. These are often experienced as seeing bright lights or bright spots and are usually short-lived without long-term consequences.

There is 1 question to complete.